산후 우울감을 예측하는 심리적 요인 연구:사회적지지, 자아존중감, 스트레스를 중심으로
Psycho-social predicting factors Model of Postpartum Depression
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참고문헌
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초록
본 연구 논문의 목적은 산후 우울감을 예측하는 심리적 요인을 검증하는 것이다. 산후 스트레스, 산후지지, 자아존중감 요인이 산후 우울을 예측하는 변인으로 가정되었고, 이들은 서로 상호작용하면서 모두 산후 우울감을 예측하리라고 가정되었다. 서울과 수도권에 거주하는 여성 121명을 대상으로 산후 우울(Edinburgh Postnatal Depression Scale : EPDS, 한국판 CES-D), 산후 스트레스(지각하는 스트레스, 양육 스트레스), 산후 지지(산후 사회적 지지, 산후 가족 지지), 자존감을 측정한 결과, 산후 스트레스, 산후 지지, 자아존중감은 모두 서로 유의미하게 상관이 있었고 산후 스트레스는 산후 우울을 유의미하게 예측하였다. 하지만, 산후 지지와 자아존중감은 산후 우울을 유의미하게 예측하지는 않았다. 이 결과는 산후 지지와 자존감이 산후 우울의 직접적인 원인은 아닌 것을 의미하며 산후 스트레스를 산후 우울의 예측 변인으로 고려할 수 있다는 것이다. 본 연구 결과는 출산을 준비하는 여성에게 가능한 스트레스를 줄이는 대처를 준비해야 하며, 스트레스와 상관이 있는 산후 지지와 자존감 증진 체계를 계획하는 것이 산후 우울 예방에 중요하다는 정보를 제공한다.
Abstract
The purpose of this study was to propose and test a psycho-social predicting factors model of postpartum depression. This model posits that postpartum stress, postpartum support and self-esteem are predicting factors of postpartum depression and the predicting factors are correlated each other. Participants were 121 women who lives in Seoul and Gyounggi Provance and have gave birth to baby recently. Postpartum depression, postpartum stress, postpartum support and self-esteem were assessed with the 'Edinburgh Postnatal Depression Scale', 'Korean CES-D(Center of Epidemiological Studies Depression Scale)', 'Perceived Stress Scale', 'Childcare Stress Inventory', 'Postpartum Social Support Questionnaire', 'Postpartum Social Questionnaire' and 'Self-esteem Inventory'. Postpartum stress, postpartum support, self-esteem were all significantly correlated each other. Postpartum stress was a significant predicting factor of postpartum depress but postpartum support and self-esteem. Result of this study informed perinatal women to plan and solicit effective support from their social network and reduce possible stress. Result of this study can be applied to make group therapy programming as well. The peer group of which members have a similar experiences or the group of which women's husband are participating will be helpful for postpartum women to overcome the stress. The group programme to increase self-esteem would be helpful as well.
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